Organization Active NPI

Belleair Surgery Center LTD

  • Ambulatory Surgical Clinic/Center
  • Clearwater, FL
National Provider Identifier
1174586606
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
855 Issued in FL
Legal business name
BELLEAIR SURGERY CENTER LTD
Practice address
1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041
Phone
(727) 581-4800
Fax
(727) 585-0319
NPI assigned
Apr 7, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David McKnight
Title
VP / Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 855 FL Primary

Addresses

Primary practice location

1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041

Mailing address

1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041
Phone (727) 581-4800

Other identifiers 1

IdentifierTypeStateIssuer
079061300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000175 FL Part B Supplier - Ambulatory Surgical Center 9436235496 Practice locations: Clearwater, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Belleair Surgery Center LTDCCN 10C0001006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1174586606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PONCE DE LEON BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561041",
            "telephone_number": "727-581-4800",
            "fax_number": "727-585-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PONCE DE LEON BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561041",
            "telephone_number": "727-581-4800",
            "fax_number": "727-585-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEAIR SURGERY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP / CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079061300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.